Provider Demographics
NPI:1255662185
Name:TRADITIONAL CARE EMS INC
Entity Type:Organization
Organization Name:TRADITIONAL CARE EMS INC
Other - Org Name:TRADITIONAL CARE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BINGHAM-TARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-507-4312
Mailing Address - Street 1:9001 AIRPORT BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77061-3474
Mailing Address - Country:US
Mailing Address - Phone:832-507-4312
Mailing Address - Fax:
Practice Address - Street 1:9001 AIRPORT BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77061-3474
Practice Address - Country:US
Practice Address - Phone:832-507-4312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
1000500OtherTDH LICENSE
TXAMB1071OtherMEDICARE